Understanding COVID-19 Pneumonia in PregnancyA Retrospective Study on Maternal and Neonatal Outcomes

Study Overview

  • Objective: To identify risk factors associated with severe outcomes in pregnant women with COVID-19 pneumonia.
  • Methods: A retrospective study involving 45 pregnant patients confirmed with COVID-19 pneumonia, using RT-PCR testing. The study covered data from the gynecology and obstetrics department over 2.5 years.

Key Findings:

  • Demographics: 75% of cases were in the 20-35 age range, and 57% of patients had no comorbidities.
  • Symptoms: 88.8% of patients showed symptoms at diagnosis, with fever (55.5%), fatigue (48.6%), and headache (35.5%) being the most common.
  • ICU Admission: 30% of patients required ICU care, and 60% needed oxygen supplementation.
  • Neonatal Outcomes: 80% of pregnancies resulted in live births, though there were cases of fetal death (13.3%) and low birth weight (26%).

Treatment and Management:

  • Antibiotics: Azithromycin was the most commonly used antibiotic (65%), with others like amoxicillin and ceftriaxone administered based on bacterial infections.
  • Anticoagulation: 51.2% of patients received preventive anticoagulation therapy due to the increased risk of thrombosis.

Discussion:
Pregnant women are more vulnerable to severe COVID-19 due to physiological changes that make them more prone to respiratory issues. This study’s findings emphasize the importance of early detection and careful management of pregnant women with COVID-19 to prevent complications such as severe respiratory distress and fetal distress.

Conclusion:
Pregnancy is a recognized risk factor for severe COVID-19, especially in women with comorbidities such as obesity and diabetes. Preventive measures and close monitoring are essential to improve maternal and neonatal outcomes.

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